Hsu Hsing-Chi, Fang Hsin-Yuan, Kuo Chi-Chung, Su Shu-Fen, Liang Wen-Miin, Ma Wei-Fen
Department of Nursing, HungKuang University, Taichung, Taiwan, R.O.C.
School of Medicine, China Medical University, Taichung, Taiwan, R.O.C.
J Nurs Scholarsh. 2022 Jul;54(4):411-421. doi: 10.1111/jnu.12751. Epub 2021 Dec 1.
More than 86% patients experience moderate to severe pain after thoracoscopic surgery. A combination of diverse nonpharmacological pain relief methods is a developing trend for pain management. The purpose of this study was to explore the effect of acupressure in reducing pain after thoracoscopic surgery.
A Randomized controlled study with purpose sampling was used for this study. Patients who underwent thoracoscopic surgery at a medical center in central Taiwan were enrolled. Study data was collected from September 2020 to April 2021 after the approval of the institutional review board. A total of 100 participants were randomized into two groups (49 and 51 in the experimental and control groups, respectively).
Participants in the experimental group received acupressure at the Neiguan (PC6) and Shenmen (HT7) acupoints thrice a day for 2 days, whereas those in the control group received routine treatment and did not receive acupressure. The measurement included questionnaires for the collection of general information, physiological information, and disease rating scale. The Visual Analogue Scale-Pain (VAS-P) was used to measure the severity of pain. SPSS statistical software was used for data analysis. Independent sample t-test and chi-squared test were used for descriptive statistics, and paired t-test and linear mixed model were used to examine the effect of acupressure in alleviating pain.
After acupressure intervention, the pain score of the experimental group was lower than that of the control group, and this difference was significant β = 17.76, p < 0.001 on day 1 after intervention; β = 19.80, p < 0.001 on day 2 after intervention. The postoperative pain score in the experimental group on day 2 after intervention was significantly lower than that in the control group (t = 2.039, p = 0.044). After the subjects received acupressure, pain index significantly decreased after considering the interaction between time and group (p < 0.001). Regardless of the type of surgery, there were significant differences in pain index when the interaction between time and group was considered (p < 0.001).
This study provided an experimental basis that acupressure can help in pain management in patients after thoracoscopic surgery, and the pain relief results become more significant as the duration of intervention increases.
Acupressure is effective in relieving postoperative pain in any type of thoracoscopic surgery. Nurses can use acupressure to help control pain in patients after thoracoscopic surgery.
超过86%的患者在胸腔镜手术后经历中度至重度疼痛。多种非药物镇痛方法联合应用是疼痛管理的发展趋势。本研究旨在探讨指压对减轻胸腔镜手术后疼痛的效果。
本研究采用目的抽样的随机对照研究。纳入在台湾中部一家医疗中心接受胸腔镜手术的患者。在机构审查委员会批准后，于2020年9月至2021年4月收集研究数据。共100名参与者被随机分为两组（实验组49名，对照组51名）。
实验组参与者每天在內关穴（PC6）和神门穴（HT7）进行三次指压，持续2天，而对照组接受常规治疗，不进行指压。测量包括用于收集一般信息、生理信息和疾病评定量表的问卷。采用视觉模拟疼痛量表（VAS-P）测量疼痛严重程度。使用SPSS统计软件进行数据分析。独立样本t检验和卡方检验用于描述性统计，配对t检验和线性混合模型用于检验指压缓解疼痛的效果。
指压干预后，实验组的疼痛评分低于对照组，干预后第1天差异显著（β = 17.76，p < 0.001）；干预后第2天差异显著（β = 19.80，p < 0.001）。干预后第2天实验组的术后疼痛评分显著低于对照组（t = 2.039，p = 0.044）。在考虑时间和组间交互作用后，受试者接受指压后疼痛指数显著降低（p < 0.001）。无论手术类型如何，考虑时间和组间交互作用时疼痛指数均有显著差异（p < 0..001）。
本研究提供了实验依据，表明指压有助于胸腔镜手术后患者的疼痛管理，且随着干预时间的延长，镇痛效果更显著。
指压对任何类型的胸腔镜手术后的术后疼痛均有效。护士可使用指压帮助控制胸腔镜手术后患者的疼痛。
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